CARDIOLOGIST Medical Services Palmerston North Hospital Vacancy ID: 4119 Conditions of Appointment

Transcription

1 CARDIOLOGIST Medical Services Palmerston North Hospital Vacancy ID: 4119 Conditions of Appointment EMPLOYMENT AGREEMENT The Collective Agreement which covers the work of this position is the New Zealand District Health Boards Senior Medical and Dental Officers Collective Agreement (Collective Agreement) which applies to employees appointed to roles that are covered by the Collective Agreement and who are members of the Association of Salaried Medical Specialists (ASMS). NATURE AND TENURE OF APPOINTMENT The appointment will be subject to the conditions contained in this schedule, MidCentral District Health Board s policies and appropriate legislation. The appointment is permanent but may be terminated by three months notice in writing by either party. In the event of the appointee being found to have breached the organisation s code of conduct or other policies, the appointment may be terminated without notice. SALARY The commencing salary for this appointment will be within the salary scale, as specified in the Collective Agreement that applies at the time the position is taken up, with movement through the salary steps being by annual increment, subject to agreed performance criteria and as per the Collective Agreement. Part-time (less than 40 hours) salary is pro-rata the full-time rate in the Collective Agreement. The position s job size is the average weekly number of hours the appointee is required to undertake: Routine duties and responsibilities, including scheduled activities such as outpatient clinics, theatre lists and departmental meetings; Non-clinical duties and responsibilities; Duties at locations other than the usual workplace; and Rostered after hours on-call duties, including telephone consultations and other relevant discussions. Details of the work schedule and hours required will be detailed in the appointee s offer of employment and remuneration schedule, including payment of an availability allowance if the position includes on-call. All salary payments will be made by direct credit to a nominated bank account in the appointee s name (or jointly including the appointee s name). INSURANCE The appointee must take out and maintain in force professional indemnity protection (e.g. through Medical Protection Society) in respect of alleged professional negligence or unskilful treatment of patients and it is recommended that advantage be taken of the unlimited indemnity

2 which is available. The cost of this will be reimbursed by MidCentral District Health Board, subject to it not having been reimbursed by a previous employer. ANNUAL LEAVE The annual leave entitlement is 30 working days per annum (pro-rata for part-time employees), in addition to 11 Public Holidays as per the Holidays Act SICK LEAVE Sick leave will be granted as and when such circumstances arise. If sickness exceeds three months, MidCentral District Health Board may seek a medical review in respect of the employee's ability to return to work. The Organisation offers an Employee Assistance Programme for employees whose work performance is being adversely affected by personal problems. Such assistance is provided on a strictly confidential basis and receiving such assistance is in no way detrimental to an employee's career. CONTINUING MEDICAL EDUCATION The appointee will be entitled to the Continuing Medical Education leave provisions as set out in the Collective Agreement applicable at the time of employment. In addition, the appointee may claim reimbursement of professional development costs as per the Collective Agreement. Provisions for accumulation of both leave and reimbursement allocations are set out in the Collective Agreement. This provision does not apply to an appointment of six months or less duration. HEALTH DECLARATION Applicants are required to complete a Health Declaration Form and return this with their application. This and the other forms noted below are supplied. DECLARATION OF CRIMINAL CONVICTIONS Applicants are required to complete a Declaration of Criminal Conduct and Other Information Convictions & Charges Pending Form and return this with their application. DECLARATION OF MEDICAL LICENCE, LOSS OR SURRENDER Applicants are required to complete a Declaration of Any Loss or Surrender of Medical Licence to Practise or Hospital Suspensions Form and return this with their application. RELEASE OF LIABILITY Applicants are required to complete a Release of Liability Form and return this with their application. POLICE CLEARANCE/ CHECK(S) This appointment is subject to a Police Clearance which requires the applicant to complete a New Zealand Police Vetting Service Request and Consent Form. Additionally, overseas police checks may need to be applied for by the appointee if they have lived in any country other than New Zealand for 12 months or more within the last 10 years. Shortlisted applicants will be advised of the requirement to undergo a New Zealand Police Clearance, and provide overseas police clearance/s, as required.

3 MidCentral District Health Board reserves the right to withdraw any offer to the appointee, or if the appointee has commenced work, terminate employment, if any adverse information arises out of the police check/s. VULNERABLE CHILDREN ACT 2014 Due to the this role having contact with children and MidCentral District Health Board s commitment to child protection, shortlisted applicants will be subject to safety checks in accordance with the Vulnerable Children Act 2014 before any offer of employment is made. These checks are required periodically for existing employees in accordance with the relevant legislation. CONFIDENTIALITY All employees are responsible for the security of confidential and sensitive information which is held by MidCentral District Health Board. All employees have a responsibility to comply with the requirements of the Privacy Act 1993 and the Health Information Privacy Code 1994 and any subsequent amendments. It is a condition of employment for all employees that confidential or sensitive information is only accessed, used or disclosed as necessary to meet their employment or contractual obligations and in accordance with the relevant legislation, their professional obligations, and any other obligations imposed by law. Note: This does not preclude the sharing of clinical information among health professionals involved in the care or treatment of the individual on a need to know or consultancy basis. Confidential information concerning a patient or client who is receiving or has received services provided by MidCentral District Health Board may not be accessed by employees not involved in the care or treatment of the patient or client, and also may not be disclosed to unauthorised persons, except for those specific cases defined in relevant legislation and as per MidCentral District Health Board s Confidentiality Policy. TREATY OF WAITANGI MidCentral District Health Board is committed to its obligations under the Treaty of Waitangi. The appointee will be expected to incorporate the principles of the Treaty of Waitangi in their working practices. EQUAL EMPLOYMENT OPPORTUNITIES MDHB is committed to the principles of Equal Employment Opportunities and all recruitment activities are conducted in accordance with these principles. SMOKE FREE ENVIRONMENT MidCentral District Health Board provides smoke-free workplaces that protect the health and comfort of employees, patients/ clients, contractors, volunteers and visitors. All buildings, grounds and vehicles owned, occupied or leased by MidCentral District Health Board are smokefree. Employees are expected to promote smoke-free lifestyles and act as role models when working with patients/ clients and in the community. CODE OF CONDUCT MidCentral District Health Board has a Code of Conduct that sets out the standards of performance and conduct required of employees. Employees of MidCentral District Health Board are also required to act with a spirit of service to the community and meet high standards of integrity and conduct as set out in Standards of Integrity and Conduct - a code of conduct issued by the State Services Commissioner.

4 SHARED APPROACH TO WORK PRINCIPLES Developing a shared approach to working together It is important that MidCentral District Health Board has a healthy and safe working environment in which all employees feel their contribution is valued and appreciated. The actions and behaviours below are intended to provide a guide and assist us all to develop and maintain this environment. To be happy and proud in our work we will: Care for and support each other to have a safe work environment; Treat each other with trust and respect, recognising cultural and other differences; Communicate openly, honestly and act with integrity; Enable professional and organisational standards to be met; Support each other to achieve, and acknowledge contributions and successes. MidCentral District Health Board does not tolerate bullying, harassment, or inappropriate behaviour in the workplace environment. APPLICATIONS Applicants are required to complete an official form of application and return it with the names and addresses of three confidential referees* and any other information considered pertinent to the position being applied for. You can choose to submit your application via our online process or in writing. To apply online, please visit the Vacancies page under Working at MDHB on our website: Alternatively, applications can be submitted to the Medical Recruitment Consultant, Human Resource Department, Palmerston North Hospital, Private Bag 11036, Palmerston North 4442, New Zealand. Fax: or smo.vacancy@midcentraldhb.govt.nz *Referee reports obtained or provided are subject to Section 27 (1) (c) of the Official Information Act 1982 and Section 29 (1) (b) of the Privacy Act 1993 and shall not be released or their contents disclosed to the applicant or to any person not directly involved in MidCentral District Health Board s appointment and review procedures.

5 CARDIOLOGIST Medical Services Job Description RESPONSIBLE TO: Operations Director, Hospital Services Service Manager, Medical Services Clinical Director, Internal Medicine through Medical Head, Cardiology Service. FUNCTIONAL RELATIONSHIPS WITH: Primary Care teams Consultants and Resident Medical Officers Cardiology Technicians Other health professionals and hospital staff PRIMARY OBJECTIVES: 1. To provide a high standard of clinical practice and clinical expertise, contributing to the provision of efficient and effective general medical and cardiology services to the community and region served by MidCentral District Health Board. 2. To assist with the supervision and instruction for Resident Medical Officers rostered to the medical service. RESPONSIBILITIES: AREAS OF RESPONSIBILITY/KEY TASKS MEASURES OF PERFORMANCE ASSESSMENT 1. CLINICAL 1.1 Delivery of clinical care to patients requiring cardiology services and assisting with delivery of clinical care to patients requiring general medical services. 1.1 Maintains a high standard of professional care in accordance with the NZMA Code of Ethics, statutory and regulatory requirements and Organisation policies, and any subsequent amendments thereto. Takes professional care of and undertakes delegated clinical responsibilities for cardiology patients. Cardiac catheterisation Exercise ECG Permanent pacemakers Echocardiograms including TOE Holter monitoring Wanganui Outpatient Clinics (as

6 AREAS OF RESPONSIBILITY/KEY TASKS ASSESSMENT 1.2 Delivery of clinical care to patients requiring cardiology services at community based locations throughout the DHB MEASURES OF PERFORMANCE negotiated) Community Cardiology Clinics within MidCentral DHB as negotiated. Conducts outpatient clinics and ward rounds and other duties in accordance with the schedule attached, using the allocated time efficiently and effectively towards achieving the goals of the annual business plan. Consults the Team Leader management of waiting lists in accordance with the patients clinical requirements and within waiting time limits agreed as acceptable by the Operations Director, Hospital Services and the Transitional Health Authority. When necessary, assists in the management of patients with acute cardiac emergency. Sees and advises promptly on patients referred for a cardiology opinion. Conducts outpatient cardiac clinics at a PHO based facility Works alongside general practitioners and specialist nurses in the management of cardiac patients within the primary health environment. Case reviews and assists GPs in the management of patients presenting with signs and symptoms of cardiac disease. 1.3 Assisting with the provision of acute specialist care for general medicine (as negotiated) 1.2 Participates in the on-call roster for cardiology. Shares on-call duty periods, providing 24 hour cover for the acute general medical service ( as negotiated). When on-call is available to respond within 5 minutes to requests for telephone advice, and to attend to patients requiring care within minutes.

7 AREAS OF RESPONSIBILITY/KEY TASKS MEASURES OF PERFORMANCE ASSESSMENT 1.4 Patient information and informed consent Health Promotion and Disease Prevention Staff and patient relations TEACHING 2.1 In-service education of Resident Medical Officers. 2.2 Formal teaching activities for other health professionals. 3. MANAGEMENT/ADMINISTRATION 3.1 Management within the Cardiology Service Gives patients a full explanation of all procedures and treatments. Obtains informed consent for all patients in accordance with the Organisation s policy for undertaking any operation, test or procedure. Advises patients about the advantages of healthy lifestyles and specific measures that may prevent recurrences of ill health. Participates in health promotion awareness campaigns relevant to his speciality and the goals of MidCentral District Health Board. Maintains effective interpersonal relationships with multidisciplinary staff, patients and relatives/whanau. Handles problems and complaints sensitively. Provides clinical supervision and teaching for House Surgeons and Medical registrar s. Provides teaching or educational presentations for nurses, resource nurse and other health professionals or groups with a cardiological interest. Utilises staff, technological, pharmaceutical and other publicly funded resources prudently and efficiently for cost effective patient care. Participates in monitoring resource allocation and decision making within the service. Provides reports and information as required by Operations Director. Participates in the development and updating of clinical management guidelines, including integrated clinical pathways.

8 AREAS OF RESPONSIBILITY/KEY TASKS MEASURES OF PERFORMANCE ASSESSMENT 3.2 Management of Resident Medical Officers Maintenance of adequate records and reports to referring doctors. 4 PERSONAL EDUCATION AND RESEARCH 4.1 Knowledge and practice updated and maintained Research activities relevant to Cardiology Assists with the supervision of, and provision of feedback on performance to, resident medical officers within the Cardiology/Internal Medical Service. Comprehensive, accurate and up-todate medical records are maintained for all patients under the Medical Officer care. Medical reports and discharge letters on inpatients as well as outpatient letters on patients seen by the Medical Officer are completed and dispatched in a timely manner. Demonstrates evidence of continuing self-education through, for example, attendance at relevant courses/seminars/conferences; reading relevant literature. Utilises appropriately annual entitlement of Continuing Medical Education Leave. Attends and actively participates in local post-graduate medical education activities. Participates in RACP MOPS programme or equivalent. Projects are approved by the Organisation s Ethics Committee, ethical guidelines are followed and research is published. Carries out reviews of drugs, equipment and methods of clinical management as time permits.

9 AREAS OF RESPONSIBILITY/KEY TASKS MEASURES OF PERFORMANCE ASSESSMENT 5 QUALITY ASSURANCE/PEER REVIEW 5.1 Participates in quality assurance programmes ORGANISATIONAL - WIDE PROJECTS 6.1 Participates in and contributes to organisational-wide projects and initiatives Attends and participates in regular departmental audit/peer review activities, including morbidity/ mortality reports. Quality of written records meets specified standards. Patient satisfaction is positive. Peer review is favourable. Meets with colleagues to discuss and record performance issues and professional/personal development, at least annually Contributes to organisation-wide projects and initiatives as required Attends and participates in meetings as required

10 Performance Criteria Senior Medical and Dental Officers The following performance criteria are related directly to current employment agreements for Senior Medical and Dental Officers (SMO/SDO's), legislation and MidCentral District Health Board's Critical Success Factors (CSF), and apply to all SMO/SDO's, with variations for each specialty as appropriate. Key Performance Indicators (KPI's) for each SMO/SDO will be related to MidCentral District Health Board's Strategic Imperatives from the annual Business Plan, and will be negotiated on an individual basis between the SMO/SDO and the Clinical Director/Operations Director. The annual performance review for each SMO/SDO will take into account the following performance criteria and individual KPI's. MidCentral District Health Board's objectives are: * To provide quality customer services * To develop business relationships * To provide efficient health and disability services * To be a good employer * To exercise social responsibility * To maximise the value of the shareholders' investment 1. TO PROVIDE QUALITY CUSTOMER SERVICES Patient Rights Patient Centred Systems Patient satisfaction, measured by both formal and informal feedback, is positive in terms of the medical care provided, including informed consent, provision of information and professional relationship with the patient. Treats patients with respect, and shows consideration for their personal privacy, maintenance of dignity and independence, social and cultural needs, religious values and beliefs. Provides patients with fair treatment without discrimination or pressure, and facilitates the provision of an environment which encourages them as part of the informed consent process, where practicable, to participate in decision-making about their treatment. Sees and advises promptly on patients referred for a specialist opinion; provides and/or supervises clinical care including the assessment, investigation, treatment and appropriate referral of patients who present to the Renal Service. Responds to patient complaints promptly and sensitively. Ensures patient treatment is documented and discharge planning and referral processes are appropriate, timely and comprehensive. Best Possible Clinical Outcomes Professional and Ethical Standards Agreed Best Practice

11 Clinical outcomes are measured through clinical audit and peer review, and are satisfactory; takes appropriate action where unsatisfactory outcomes are identified. Achieves maintenance of professional standards requirements (or equivalent) set by the appropriate College and maintains professional standards of conduct. Achieves and maintains MidCentral District Health Board credentialling. Provides services in accordance with MidCentral District Health Board clinical protocols, guidelines and policies. Develops or acquires new skills, procedures or qualifications which contribute positively towards the quality of service provision and achievement of contracted obligations. Develops, documents and practices in accordance with best practice guidelines relevant to specialty. Safe Therapeutic Environment Practises in a culturally safe manner. Adheres to MidCentral District Health Board infection control policies and guidelines. Ensures that patients are assessed and treated immediately on the basis of their priority, promoting the flow of patients by identifying those who could be fast tracked and mobilising resources to achieve this. If Internal Medicine has reached a state of overload, works in close liaison and cooperation with the nursing staff, organising a response to workloads. Family/Community Context Ensures that family/significant others are informed and involved. Continuous Improvement Consistently reviews efficiency of own practices and participates in activities related to organisational effectiveness, eg adherence to preferred medicines list. Achieves or exceeds agreed levels of performance measured against quality performance indicators, eg length of stay, unplanned readmission. Initiates and participates in quality assurance and process improvement activities relevant to area of practice. Participates in achievement of New Zealand Council on Healthcare Standards accreditation in area of specialty or organisational-wide. 2. TO DEVELOP BUSINESS RELATIONSHIPS Favourable Business Relationships Represents MidCentral District Health Board positively in relationships with other providers, purchasers, sectors and authorities.

12 Clear Boundaries In contributing to the organisation and provision of quality health services, demonstrates an awareness of own and other's accountabilities, responsibilities and obligations, both within MidCentral District Health Board and externally. Documented Agreements Monitoring Agency Requirement Complies with written agreements, both with internal services and external agencies. Provides information and reports which are required to fulfil reporting requirements, both internally and for external agencies. Work Together Communication Processes and Information Sharing As negotiated/agreed with the Clinical Director/Operations Director, participates in activities with external agencies which involve the sharing of information, expertise and/or resources. 3. TO PROVIDE EFFICIENT HEALTH AND DISABILITY SERVICES Perform to Contract Defined Range and Scope of Services Provides services in accordance with the defined range as per the MidCentral District Health Board Statement of Intent and Business Plan, and as purchased. Meets agreed contribution towards achieving the service contract, including meeting quality standards, access or exit criteria, legal requirements and all components of service specifications, volumes, and other defined outputs. Fulfils scheduled commitments as per the work schedule. Participates in service planning activities related to meeting contract requirements. Fair and Equitable Systems Participates in the development and maintenance of fair, consistent systems for managing waiting times, appointment scheduling and referrals. Participates in the development and maintenance of entry and exit criteria and prioritisation criteria. Appropriate Locations Works positively and co-operatively towards achieving service goals and contract requirements related to changes in location of service provision such as increased ambulatory care, increased community home-based care, visiting services to rural areas and reduced emphasis on inpatient services.

13 Efficient Resource Utilisation Uses time and resources effectively, efficiently and productively towards achievement of MidCentral District Health Board's objectives and own KPI's. Maintains comprehensive, accurate and up to date records for all patients. Completes patient reports and dispatches these in a timely manner and according to any contractual requirement. Integrated Services Actively works towards maximising co-operation between services and with other providers. Recognises linkages between services and takes these into account when considering initiatives within own service. Has an up to date knowledge of relevant disaster plans, the department s capabilities and responsibilities in the event of disasters, and other related resources in the region. Statutory Requirements Is aware of and complies with statutory requirements. 4. TO BE A GOOD EMPLOYER Employment Practices Agreements and Legislation Right Person, Qualifications and Job Workforce Diversity Understands the principles of equal employment opportunity and complies with MidCentral District Health Board's human resources policies. Ensures that medical officers of special scale and resident medical officers are managed within the terms of their Collective Agreements or Individual Employment Agreements and MidCentral District Health Board's human resources policies. Effective Performance Management Individual Development and Education Provides education for medical officers of special scale, resident medical officers, and other staff as appropriate, both formally and informally. Performance issues of resident medical officers are addressed in a timely and supportive manner, in conjunction with the Intern Supervisor or RMO Director as appropriate; performance issues of medical officers of special scale are addressed in a timely and supportive manner, in conjunction with the Clinical Director. Utilises annual Continuing Medical Education Leave entitlement to maintain and develop own skills and knowledge. In consultation with the Clinical Director/Operations Director, sets annual KPI's, identifies professional development needs and develops a plan to meet these.

14 Maintains professional contacts through membership of local, regional or national professional groups or advisory bodies. Effective Leadership Provides clinical leadership for medical officers of special scale, resident medical officers, and other staff as appropriate. Role models professional standards of behaviour, maintains professional relationships and demonstrates a high standard of personal and professional integrity. Supports and encourages others in the achievement of MidCentral District Health Board's objectives. Participates positively in team development and change management. Effective Communication Communicates openly, honestly and effectively. Maintains a loyal and confidential relationship with the management and staff of MidCentral District Health Board. Addresses issues of concern with those involved, taking appropriate responsibility for identifying and implementing solutions. Participates co-operatively and positively as a health team member, contributing to the maintenance of harmonious interpersonal relationships. Develops and maintains a positive partnership with the Clinical Director and Operations Director. Displays respect and tolerance towards others, recognising and acknowledging their contributions. Is able to receive and give feedback in a constructive and supporting manner. Safe Working Environment Participates in the maintenance of a safe working environment, promptly notifying identified hazards and encouraging other staff to be aware of their own safety as well as that of others. 5. TO EXERCISE SOCIAL RESPONSIBILITY Community Consultation Community Expectations Share Health Expertise Participates in community health education activities relevant to specialty. Educates patients about the advantages of maintaining a healthy lifestyle, referring them for appropriate support as necessary.

15 If required to represent MidCentral District Health Board in an official capacity in community or consultation activities, promotes the interests of MidCentral District Health Board in a positive manner. As negotiated/agreed with the Clinical Director/Operations Director, provides education for primary providers such as GP's and practice nurses. Treaty of Waitangi Complies with MidCentral District Health Board's Treaty of Waitangi Policy. Ethical Business Practices Research complies with ethical guidelines and organisational policy 6. TO MAXIMISE THE VALUE OF THE SHAREHOLDERS' INVESTMENT Risk Management Minimises organisational risk through compliance with statutory and regulatory requirements and maintenance of own competence/safe practice. Is familiar with and complies with MidCentral District Health Board policies, procedures and protocols. Reports critical incidents and potentially compensatable events. Financial Performance Clinical decisions and decisions with financial implications reflect an understanding of the necessity for MidCentral District Health Board to maintain clinical and financial viability. Actively pursues and implements ways in which expenditure can be contained. Integrated Planning Participates in service planning activities which are consistent with MidCentral District Health Board's objectives. Strategic Direction Considered Investments Seeks out alternative revenue sources/identifies new initiatives, and participates, together with the Clinical Director and Operations Director, in pursuing these. Participates, as appropriate, in activities related to the advancement of MidCentral District Health Board's service provision, eg new health technology, information technology.

16 Individual Key Performance Indicators Senior Medical and Dental Officers VISION MidCentral District Health Board Quality Living Healthy Lives VALUES Employ the right people; promote personal and professional growth; work in a partnership style; make opportunities happen; deliver effective health care; provide best possible value OBJECTIVES To provide quality, customer services To develop business relationships To provide efficient health and disability services To be a good employer To exercise social responsibility To maximise shareholders investment CRITICAL SUCCESS FACTORS Each objective has a number of Critical Success Factors. Criteria for Senior Medical and Dental Officers See Performance STRATEGIC IMPERATIVES Strategic Imperatives related to MidCentral District Health Board's objectives will be taken from the current business plan, and those particularly relevant to the individual SMO/SDO for the following 12 months will be identified in consultation between each SMO/SDO and their Clinical Director/Operations Director KEY PERFORMANCE INDICATORS These will relate to the above strategic imperatives, and will be negotiated on an individual basis between each SMO/SDO and their Clinical Director/Operations Director. The annual performance review for each SMO/SDO will take into account achievement of these individual KPI's as well as the Performance Criteria for Senior Medical and Dental Officers.

17 CARDIOLOGIST Person Specification Competencies are the skills, knowledge and attributes required to be fully competent in this position. There will be a programme available for appointees to meet competencies where a need for continued development is identified. For the purposes of selection essential competencies have been identified, and decisions will be made based on the ability of applicants to meet these: Registered as a Medical Practitioner with the Medical Council of New Zealand or eligible for registration with the Medical Council to enable practice within the Organisation s area Holds a higher qualification appropriate to the speciality, which is recognised by the Medical Council of New Zealand for Vocational Registration in Internal Medicine/Cardiology Has been qualified at least seven years and has had at least five years' experience in the speciality of cardiology Meets the statutory and organisational requirements for working with children, as per the Vulnerable Children Act 2014 and MidCentral District Health Board policy, including a satisfactory police check and other safety checking processes. Commitment to auditing standards of practice Proven knowledge of modern skills and techniques within haematology Has demonstrated a high standard of clinical care, management and time management skills Is committed to continually updating skills and treatment methods Has demonstrated teaching skills in respect of junior medical staff, other staff, patients and their families Awareness of and sensitivity to cultural differences Ability to work effectively within a multidisciplinary team Ability to work effectively within a service and organisation committed to continuous quality improvement and to achieving accreditation

18 CARDIOLOGIST Physical Attributes Under the Human Rights Act 1993 discrimination based on disability is unlawful. MDHB will make all reasonable efforts to provide a safe and healthy work place for all, including persons with disability. Every effort has been made to outline requirements clearly. If a potential applicant has uncertainties about their ability to fulfil these physical requirements, enquiry should be made whether it would be possible to accommodate a particular issue by obtaining advice from Occupational Health & Safety / Infection Control Team. Ability to move about and undertake necessary duties throughout Palmerston North Hospital including ability to work rostered on call duties over 24 hour period. Ability to sit and ability to stand, walk, stretch, twist and bend. Manual dexterity sufficient to drive, undertake necessary patient examinations, operate necessary equipment, undertake necessary procedures such as pacemaker insertion, TOES, echocardiography, ECGs and angiography procedures and contribute to /lead emergency management. Visual ability sufficient to drive, read and observe sufficiently to examine patients, operate necessary equipment, undertake necessary procedures such as pacemaker insertion, cardiac catheterisation, TOES and angiography procedures enabling accurate performance of essential job duties Hearing and speech, sufficient to effectively use stethoscope, communicate with patients / caregivers / co-workers and accurately undertake necessary examination procedures, monitor equipment and patient status. A high degree of mental concentration is required. Ability to wear gloves and at times, facemasks for infection prevention and control purposes and have infrequent contact with latex rubber. Skin should not be fissured scaly, cracked on hands, forearms, face or neck. Skin condition should allow frequent contact with water, soap/antiseptic soap and alcohol based hand products acceptable for infection control purposes. Absence of a health condition which could increase appointee s susceptibility if exposed to infections more frequently than in daily living. Work may present a hazard to immuno-compromised persons. Freedom from colonisation or infection with MRSA.

19 The appointee s health condition should not result in undue hazard to the worker, client or others as a result of exposure to blood, body fluids / waste or infectious disease. (Note MidCentral DHB/s Policy for Work Restriction of Staff with Infectious Conditions especially skin Lesions section. Compliance with Medical Council of NZ Guidelines on Transmissible Major Vital Infections. Must be able to function under rapidly changing and demanding conditions.